The market's health system sector shapes Jacksonville's approach to healthcare delivery and value-based care. Physician organizations and large health plans leverage clinical integration as a strategy to increase their market influence. Jacksonville health systems are actively expanding their locations in both the inpatient and outpatient space. The market's two largest health systems, Baptist Health and Ascension St. Vincent’s, use convenient care locations to bring patients into the health system. The market is home to academic providers like University of Florida Health and Mayo Clinic that make Jacksonville a hub for cutting-edge care. Physicians are the core of these clinical innovations and exert their market influence through solid reputations. COVID-19 could push the market's physician sector to become more consolidated. This could lead to large health systems and even payers integrating with more physicians. Health plans may need to carve out their niche in Jacksonville, and Florida Blue dominates the commercial space. COVID-19 may drive down employer-sponsored commercial enrollment, but Florida Blue could catch new enrollment opportunities on the exchange.